<form id="download-form" class="form-horizontal" role="download" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('代理商名称')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-agent_name" data-rule="required"  data-source="/api/base/getAgent" data-primary-key="agent_name" data-field="agent_name"   class="form-control selectpage" name="row[agent_name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('业务员')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-docking" data-rule="required"  data-source="/api/base/user" data-primary-key="userid" data-field="username"  data-params='{"custom[id]":"1"}'  class="form-control selectpage" name="row[userid]" type="text" value="黄丽丽">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('收货方式')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-receivingWay" class="form-control form-control" name="row[receivingWay]" >
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('订单创建时间')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-createtime" data-rule="required" autocomplete="off" class="form-control datetimepicker form-control" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[createtime]"  type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('要求到货时间')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-forArrivalGoodsTime" data-rule="required" autocomplete="off" class="form-control datetimepicker form-control" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[forArrivalGoodsTime]"  type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('运费承担')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-freightFor" class="form-control form-control" name="row[freightFor]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('备注')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remark" class="form-control form-control" name="row[remark]" type="text">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
